Transcript: Affordable Care Act for TB Services in California: Assessment by the California TB Controller s Association
|
|
- Hope Mitchell
- 6 years ago
- Views:
Transcription
1 Transcript: Affordable Care Act for TB Services in California: Assessment by the California TB Controller s Association Julie Higashi, MD, PhD TB Controller, Disease Prevention and Control Branch, Population Health Division, San Francisco Department of Public Health The Affordable Care Act and Tuberculosis Control: Navigating New Territory A National Webinar August 23, 2013 Archived Webinar Recording:
2 [Start of recorded material] 00:00:09 Speaker: Julie Higashi It s a real honor to be here with this panel of experts, to talk about the Affordable Care Act- and I really am speaking from two hats- one, as a past president of the California TB Controller s Association, and also as a local TB controller in San Francisco. And I want to say that things are so dynamic with the ACA that you really just sort of have to jump in, and just start trying to work with it and understand as much as you can, and hopefully over time we will all come together and make a path forward. 00:00:51 So, the outline of my portion of this webinar is to really talk about the California TB Controller s Association, or CTCA assessment of TB services for plans on the healthcare exchange. And I must say, that are still a lot of unknowns about what the plans actually are going to provide, as far as services, on healthcare exchange. This is our best guess. And our organization is focusing on diagnosis and treatment of TB infection, and whether or not there was cost sharing for the patient. The CTCA survey looked at how our local TB programs are trying to prepare for the ACA. And then finally, I will go over what I think, or what my vision is, for the San Francisco TB program, as far as getting ready for the ACA. 00:01:50 For the assessment of TB services on the healthcare exchange, the way that CTCA went about this was just simply to review plan benefits available, that were posted on websites. And these are websites of the health insurance companies, who will be participating on the exchange in California- their plans. And the simple way to do this was to search for preventive services, and to search for Tuberculosis, in order to kind of get a feeling for what the plan covered. The other approach we took was to call the companies- I found to cold call them and ask them questions, what is included in preventive TB services in Covered California Plan, Covered California is the healthcare exchange for California- that s just the name of it- And will there be cost sharing for participants for TB services? And so that s how we went about this. 00:02:51 These are the Covered California Plans, you can see that there are about eleven or so plans, and there s all different types of insurance companies. 00:03:04 And these are the Covered California Plans that are available in San Francisco. So one of the things that is important to know is what do you have available on the healthcare exchange in your jurisdiction or in your local area. And so I only need to worry about 1 P age The Affordable Care Act and Tuberculosis Control: Navigating New Territory
3 these five plans for my SF program: Blue Shield, Chinese Community Health Plan, Health Net, Anthem Blue Cross and Kaiser Permanente. 00:03:34 So one of the important concepts, which Christine s already discussed, is preventive services within the Affordable Care Act, and these are services that are provided to insured patients and these services are not cost shared, so in other words, the patient goes to their provider and doesn t pay any co-pays for that particular activity. And as Christine mentioned earlier, the U.S. Preventative Task Force, grade A or B activities are considered to be preventive services and another advisory panel, advisory committee on immunization practices, any of these recommended services are preventive services. And then there s the HRSA, or the Health Resources and Services Administration Guidelines, of which there s a subset- the American Academy of Pediatrics Bright Futures mentioned some guidelines, guidance or services, or recommend services for TB. 00:04:30 These are the things that determine which activities can be provided to patients that will not be cost-shared. So what is the reality for TB? And as far as TB services, we re kind of limited and this is an unfortunate loophole, or administrative glitch-it s kind of like how I like to characterize it, because in 1992, the USPS Task Force did recommend screening for TB infection as a grade A or B activity. When the Guidance was up for revision in 2002, what happened then was that the USPS Task Force decided to defer CDC recommendation, so they decided not to pursue an actual revision of their rating, and so because of that, that is why TB is not included. And I think I may have misspoke about the original recommendation, I think it was 1996 not So companies participating in Covered California with existing plans, that cover services as per ACA, we don t know yet which plans are going to exist in the healthcare exchange, we have some basic guidelines that are being based on the Kaiser benchmark plan, but even within Kaiser we know that there can be differences between regions and Northern California region versus the Southern California region. So we really just don t know and this is our best guess. So the plans that are now published by the same companies for: Health Net, Valley Health Plan, Western Health Advantage, Chinese Community Health Plan, and Ventura County Health Plan. They all mirror what the national ACA preventive TB services are. Which is a TB screen, test for HIV/AIDS and children who are considered higher risk. So these are folks that can show up at the door, get a TB screen test and not have a co-pay. Everybody else may have a co-pay for the TB screening test and any sort of subsequent treatment. 2 P age The Affordable Care Act and Tuberculosis Control: Navigating New Territory
4 00:06:44 So what about MediCAL TB services? We re lucky in California that MediCAL provides access to diagnosis and treatment of TB disease and infection without cost sharing. And it s a real boon to our TB control and elimination activities, that MediCAL provides such comprehensive services. And so there are some companies that are participating in Covered California that have existing plans with MediCAL eligibility requirements. And these are the two plans, Molina Healthcare and LA Health Care Plan. So we hope that there s not going to be a disparity in the preventive TB services offered amongst the plans on the healthcare exchange. And we re actively working to understand what the services are going to be. 00:07:39 These are the kinds of questions you should be asking of your local health plan. Other approaches to TB prevention from different companies- and these are the other plans. And they just it s interesting because these plans actually have different approaches to what they consider preventive treatment. The Blue Shield plan will allow, as preventive service, TB screening up to age 19, which includes a risk assessment and test-really like that approach; Contra Costa County explicitly states there s no cost for TB treatment regardless of residency status; Kaiser Plan- it s really difficult to understand what the benchmark is- we know that there s at least a national standard, provided on some of the plans that are published on their website, and one Southern California website included an adult assessment of TB and preventive care. So that s a little bit different than the national health plan. And then for the Sharp Health Plan, it was at least the national standard, at least the ACA and possibly some wiggle room for preventive service, depending on some sort of internal policy. 00:08:48 The take home points from this part of the presentation is that Covered California has not defined the scope of preventive TB services. So that s a basic question to ask of your healthcare exchange. And that the ACA does not include TB diagnosis and treatment without cost sharing to the patient, particularly for TB infection. And we know from experience that for active TB treatment, that patients still share (in many insurance plans) co-pays. For meds, for labs, for doctor visits. So you need to understand which plans will be available in your local jurisdiction on the exchange. The TB services covered as prevention, the TB services that will be cost shared, and the fraction of your population that will not have insurance. When we looked at our population in San Francisco, our estimate is that 15-30% of our population is potentially eligible for the healthcare exchange. And so actually in reality the impact of what this exchange is going to be for us, we really don t understand well. So what will be nice is if some of our currently uninsured patients do have access. The 3 P age The Affordable Care Act and Tuberculosis Control: Navigating New Territory
5 ones that are undocumented will not, but time will tell. So it may be that it is a fraction of your population, so understanding that this is not going to apply to everybody, but just some of your population, and understanding what that fraction is, is important. 00:10:23 Ok, I m going to be moving on to the CTCA survey of local health jurisdictions and how they are preparing for the ACA. This was a fairly informal survey the quick and dirty approach of trying to just get a feeling for what local health jurisdictions were doing to get ready for ACA as far as TB. And we asked them four questions: How will ACA change the way you deliver TB services? Who will be seeing the undocumented for TB services? Who will be providing care for patients with active TB disease? and Who will be providing care for the diagnosis and treatment of latent TB infection? 00:10:59 And we did not get a high response rate, we only got 8 responses out of the 61 jurisdictions, however we got a nice sort of spread across the high, medium and low burdened health jurisdictions. So we just get a quick- cross sectional look. 00:11:16 And so to the question How will ACA affect the delivery of TB services in your county? about half the respondents said it s really not going to change things. We re going to continue to direct services in one county; already transferred direct services to the community in two counties; transferred LTBI treatment to the community in one county; and then the other responses: transfer LTBI diagnosis and treatment to community; more patients will wait for services, and I don t understand, which I think is a very realistic and honest response. 00:11:54 Who will be seeing the undocumented in your county? Public health clinics in more than half of the respondents. And then it looks like the federally qualified health centers (FQHCs) are really what public health or TB programs are looking to for providing TB services. But you can see that they already know that there are going to be limitations, FQHCs, but only for emergency care. FQHCs and county hospitals for suspects and cases, unsure-direct to FQHC. So we are looking either at the public health clinic to deliver these services, or the federally qualified health centers. 00:12:34 Who will be caring for patients with active TB disease in your county? Three said they have a dedicated clinic. Another, public health will diagnose and local providers will treat, sort of a hybrid model, county system will have MediCAL and uninsured, the private providers will have the insured, in the other large group of three. And then private providers with the local health department oversight, so this is a county in which there is no direct service for active TB treatment. 4 P age The Affordable Care Act and Tuberculosis Control: Navigating New Territory
6 00:13:04 Who will be screening and treating patients with TB infection? In three counties: the primary medical doctors, in three counties: the public health clinic and private providers, so it s going to be a mix, public health clinic- not enough capacity to do a good job, public health will diagnose and PMD will treat. So it s really a mixture of who is going to be doing TB infection, treatment and diagnosis. 00:13:32 So what are we doing in San Francisco to prepare for the ACA? I ve tried to group our activities under the overarching principles that I think are the big ticket items, in the ACA. One of the big goals is to consolidate care in their medical homes. And so us in San Francisco, we want to support better diagnosis and treatment of uncomplicated LTBI in the medical home, because we feel that we are not going to really make inroads with our numbers for active TB cases until we actually get some more of the pool of infected patients with TB infection. And in order to support those, we are implementinghopefully soon- an electronically based referral consultation portal through our health record, in order to provide support to primary care providers, and eventually an access to our TB program database, so that PMDs can look at a patient s public health record to see if they ve had prior diagnosis and treatment. For both active TB and latent TB. And then establish clear guidelines for referral, screening and treatment of active TB disease and TB infection, and we re just revising our criteria so that we can accommodate treatment for more patients because we want it to be supported in the medical home and it s not just limited to what our clinic can handle. 00:15:06 Another overarching principle is efficiency gained by using electronic medical records sort of the high tech part of the ACA. And so we want to support implementation and meaningful use of TB screening and treatment in our county health system electronic medical record, so that means creating care pathways for diagnosis and treatment. And implementing again, the e-referral system I just referred to and then advocating for inter-operability between our new public healthcare system surveillance system that s in the process- or just about to begin implementation in the electronic county health record. So thinking ahead, about this electronic medical record, and how your county interacts with it- I think there s a lot of value in doing that now, because a lot of people are putting things in place. And our dream would be that the TB module of the public health surveillance system will eventually become the county TB infection registry. 00:16:11 Another theme is that there may be more reimbursement opportunity since more people have access to insurance. We want to be a specialty provider, our TB clinic in San Francisco, that may participate in any accountable care organization in any health system in San Francisco. So that may require setting up memorandums of 5 P age The Affordable Care Act and Tuberculosis Control: Navigating New Territory
7 understanding with different health care systems, and increasing our capacity to bill for services. And the early word is that the reimbursement that we are going to be getting from the exchange may be less than what we have been seeing in the past from MediCAL, and so we may not be- we shouldn t be expecting that this is going to be a huge revenue source. There will be a population health focus reimbursement type performance another sort of overarching principle coming out of the ACA and so under this sort of principle, the plan is to advocate for TB treatment to become a performance indicator performance indicators at the local, state and national levels of quality measures. I d like to see us implement report cards of TB performance indicators for health centers and health systems. And then the curve which means get to that pool of TB infections so that you re really, really reducing active cases by focusing on prevention, that is another principle of the ACA- to advocate for inclusion of TB diagnosis and treatment without cost sharing at the local, state, and federal levels. We made some inroads with this at the Advisory Council for Elimination of TB cost resolutions supporting this principle and recently the American Medical Association passed a resolution that advocated no cost sharing for Tuberculosis medication. So, you know, these are the types of things that if you have the opportunity to talk to your decision makers, and educate them about the limitations we have currently with the ACA, it may end up opening up doors for you to provide services for patients. 00:18:20 So I d like to acknowledge the California TB Controller s Association, and I put this list of people here because these are the people who are currently really working actively on Affordable Care Act issues. So if you re in California, I just wanted you to know that Barbara Cole, Charity Thoman, Peter Kerndt, Mike Carson, Judith Thigpen-who s CTCA s Executive Administrator- have really been working and thinking about ACA and how it affects TB. The California Department of Public Health-Jan Young- helped us with a lot of the calls to the health care companies and what came out of her calls to these companies was really no plan had been put in place. National TB Controllers Association, John Warkentin, who is past president- Jenny Flood, president, who are helping us coordinate a national effort to address the opportunities and limitations of the ACA. And finally, our point person who is centrally located at the Division of TB Elimination, CDC, Christine Ho. 6 P age The Affordable Care Act and Tuberculosis Control: Navigating New Territory
FOR IMMEDIATE RELEASE April 17, Media Line Contacts: Covered California (916)
FOR IMMEDIATE RELEASE April 17, 2014 Media Line Contacts: Covered California (916) 205-8403 California Department of Health Care Services (916) 440-7660 COVERED CALIFORNIA S HISTORIC FIRST OPEN ENROLLMENT
More informationHealth Care Reform 1
Health Care Reform 1 Health Care Reform Covered California (Health Benefit Exchange) Medi-Cal Expansion Bridge Plan Proposal Gold Coast Readiness Outreach to the Eligible 2 Health Care Reform: What is
More informationThe Role of the 340B Drug Pricing Program in HIV- Related Services in California
The Role of the 340B Drug Pricing Program in HIV- Related Services in California May 2018 Rapid Assessment Northern California HIV/AIDS Policy Research Center Valerie B. Kirby, Emma Wilde Botta, Wayne
More informationResponsibilities of Public Health Departments to Control Tuberculosis
Responsibilities of Public Health Departments to Control Tuberculosis Purpose: Tuberculosis (TB) is an airborne infectious disease that endangers communities. This document articulates the activities that
More informationHealth Coverage for San Franciscans
Health Coverage for San Franciscans SF FES Council Affordable Care Act Alejandro Salinas LaShenna Sirles July 16, 2014 The following presentation is not for consumer use and is for informational purposes
More informationResources for FQHCs on TB: Toolkits and More
Resources for FQHCs on TB: Toolkits and More Nisha Ahamed, MPH Rutgers, The State University of New Jersey Objectives & Outline At the end of the session, participants will be able to: 1. Identify risk
More informationUndocumented Latinos in the San Joaquin Valley: Health Care Access and the Impact on Safety Net Providers
Undocumented Latinos in the San Joaquin Valley: Health Care Access and the Impact on Safety Net Providers John A. Capitman, PhD Diana Traje, MPH Tania L. Pacheco, ABD California Program on Access to Care
More informationSales Webinar #6 12/17/14
Sales Webinar #6 12/17/14 Agenda Welcome Sales Division Partner & Program Updates CalHEERS & System Updates Important Dates Q & A Sales Divison Enrollment Status 2014 Enrollment Status Covered CA Eligibility
More informationIntroduction Overview of the Specialty Care Initiative Overview of the Case Study
Introduction Overview of the Specialty Care Initiative The Specialty Care Initiative (SCI) supported community coalitions in developing and implementing strategies to address specialty care demand and
More informationKey elements of the program discussed in the following pages include: Appropriate use of data with community leaders and local politicians
CASE STUDY 3 COMMUNITY PARTNERSHIP PROJECT: SAN DIEGO COUNTY Key elements of the program discussed in the following pages include: Co-location of services Decentralization of LTBI therapy Cost and reimbursement
More informationPrevent the transmission of tuberculosis (TB) and cure individuals with active TB disease
Tuberculosis (TB) Control and Prevention Program Program Purpose PHD/CHPB Evelyn Poppell, x5600 Rachel Kidanne, x5605 Prevent the transmission of tuberculosis (TB) and cure individuals with active TB disease
More informationThe Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act October 3, 2012 U.S. Conference on AIDS Amy Killelea, JD Anne Donnelly John Peller National Alliance of Project Inform AIDS Foundation State & Territorial
More informationQuality Insights Quality Innovation Network August Care Coordination Open Office Hours Call August 27, 2015
Quality Insights Quality Innovation Network August Care Coordination Open Office Hours Call August 27, 2015 Well, good afternoon everyone, and thanks so much for joining us. I would like to welcome you
More informationHealth Center Strong:
Health Center Strong: Developing and Expressing Health Center Value Jonathan Chapman Director, CHC Advisory Services, Capital Link NHCHC National Conference and Policy Symposium May 18, 2018 1 Capital
More informationCHARITY CARE FY 2013 AND FY 2014 REPORT
San Francisco Department of Public Health Office of Policy & Planning CHARITY CARE FY 2013 AND FY REPORT Presentation to San Francisco Health Commission Presentation Outline 2 1. Charity Care Ordinance
More informationAssembly Select Committee on the Master Plan of Higher Education in California Kaiser Permanente Testimony Scott McGuckin November 1, 2017
Assembly Select Committee on the Master Plan of Higher Education in California Kaiser Permanente Testimony Scott McGuckin November 1, 2017 Introduction Good morning, Mister Chair and Members. My name is
More informationPrevent the transmission of tuberculosis (TB) and cure individuals with active TB disease
Tuberculosis (TB) Control and Prevention Program Program Purpose Program Information PHD/CHPB Evelyn Poppell, x5600 Nga Nguyen, x5663 Prevent the transmission of tuberculosis (TB) and cure individuals
More information101 Grove Street, Room 308 San Francisco, California (415) MANAGED CARE UPDATE FY
101 Grove Street, Room 308 San Francisco, California 94102 (415) 554-2610 www.sfdph.org MANAGED CARE UPDATE FY 2013-14 TABLE OF CONTENTS 1. DPH Enrollment 1 2. Low Income Health Program Transition 3 3.
More informationChad Shearer, JD, MHA, Vice President for Policy, Medicaid Institute Director Misha Sharp, Research Analyst February 28, 2018
Testimony of the United Hospital Fund to the Council of the City of New York, Committee on Hospitals: Oversight Examining the Status of One New York: Health Care for Our Neighborhoods : What Progress Has
More informationNATIONAL TUBERCULOSIS CONTROLLERS ASSOCIATION EXECUTIVE BOARD CONFERENCE CALL MINUTES February 14, 2012
NATIONAL TUBERCULOSIS CONTROLLERS ASSOCIATION EXECUTIVE BOARD CONFERENCE CALL MINUTES February 14, 2012 I. Attendees a. Jon Warkentin, Pat Infield, Jane Moore, Nancy Baruch, Jennifer Flood, Shea Rabley,
More informationCalifornia ACA implementation and people with HIV
California ACA implementation and people with HIV HIV advocacy: ACA implementation ACA implementation is not a point in time It is a long process of ensuring the programs will work for people with HIV
More informationImprovement Happens: An Interview with Deeb Salem, MD and Brian Cohen, MD
INNOVATION AND IMPROVEMENT Improvement Happens: An Interview with Deeb Salem, MD and Brian Cohen, MD Matthew J. Press, MD, MSc Departments of Public Health and Medicine, Weill Cornell Medical College,
More informationcommunity clinic case studies professional development
community clinic case studies professional development LFA Group 2011 Prepared by: Established in 2000, LFA Group: Learning for Action provides highly customized research, strategy, and evaluation services
More informationAmy Eisenstein. By MPA, ACFRE. Introduction Are You Identifying Individual Prospects? Are You Growing Your List of Supporters?...
Simple Things You re NOT Doing to Raise More Money Amy Eisenstein By MPA, ACFRE Introduction........................................... 2 Are You Identifying Individual Prospects?.......................
More informationMartin Nesbitt Tape 36. Q: You ve been NCNA s legislator of the year 3 times?
Martin Nesbitt Tape 36 Q: You ve been NCNA s legislator of the year 3 times? A: Well, it kinda fell upon me. I was named the chair of the study commission back in the 80s when we had the first nursing
More informationMeaningful Use Stage 2
Meaningful Use Stage 2 Objectives Gain understanding of the changes Focus on Transitions in Care and Patient Engagement Recognize the increasing HIE role Who Are You? What is YOUR Need Today? A. Office
More informationStandardizing Medi-Cal Pay for Performance Advisory Committee Meeting. November 3, 2016
Standardizing Medi-Cal Pay for Performance Advisory Committee Meeting November 3, 2016 Agenda Welcome & Introductions Core Measure Set MY 2017 EAS Measure Set Update Benchmarks Core Measure Set Adoption
More informationCOMPARING FULL SERVICE CALIFORNIA HMO ENROLLMENT FOR MARCH 31, 2014 AND MARCH 31, 2015 (see Notes, pg 8)
COMPARING FULL SERVICE CALIFORNIA HMO ENROLLMENT FOR MARCH 31, 2014 AND MARCH 31, 2015 (see Notes, pg 8) ALL HMO PRODUCT LINES ENROLLMENT HMO Plans 2014 HMO Plans 2015 Difference Percent Chg Commercial
More informationManaging Population Health in Northeast Georgia: One Medical Group's Experience
September 21, 2013 Managing Population Health in Northeast Georgia: One Medical Group's Experience By Mark Hagland Northeast Georgia Physicians Group (NGPG), based in Gainesville, Georgia, a suburb of
More informationAttitudes Toward Managing Latent TB Infection in Primary Care
Attitudes Toward Managing Latent TB Infection in Primary Care Jonathan Carey Jackson, M.D. Harborview Medical Center, WA Attitudes Toward Managing Latent TB Infection in Primary Care Investigators Carey
More informationCommunity Health Improvement Plan John Muir Health I. Executive Summary
Community Health Improvement Plan John Muir Health 2013 I. Executive Summary 1 I. Executive Summary The Community Health Improvement Plan has been prepared in order to comply with federal tax law requirements
More informationSAN MATEO MEDICAL CENTER
ADMINISTRATIVE AND QUALITY MANAGEMENT - Accounting/Payroll - Finance and Decision Support - Patient Financial Services - Revenue and Reimbursement - Compliance/HIPAA - Materials Management - Community
More informationThe Prospective Role of Charity Care Programs in a Changing Health Care Landscape
BRIEF JULY 2018 The Prospective Role of Charity Care Programs in a Changing Health Care Landscape By Matthew Ralls, Lauren Moran, and Stephen A. Somers, PhD, Center for Health Care Strategies IN BRIEF
More informationACOs the Medicare Shared Savings Program And Other Healthcare Reform Payment Methods
A unique vision for an ever-changing healthcare environment ACOs the Medicare Shared Savings Program And Other Healthcare Reform Payment Methods Presented by Joe Laden, President, ORVA, LLC The Environment
More informationLocal Solutions for Serving the Remaining Uninsured: Benefits and Financing
Local Solutions for Serving the Remaining Uninsured: Benefits and Financing Presenters: Bob Brownstein, Working Partnerships USA Cynthia Carmona, Community Clinic Association of Los Angeles County David
More informationHEALTH CARE REFORM MAKING IT WORK FOR LA COUNTY DEPARTMENT OF HEALTH SERVICES AND SAFETY NET SYSTEM
HEALTH CARE REFORM MAKING IT WORK FOR LA COUNTY DEPARTMENT OF HEALTH SERVICES AND SAFETY NET SYSTEM July 15, 2013 Alexander Li, MD DHS Ambulatory Care Network Our Story Affordable Care Act (Obamacare)
More information2016 Meaningful Use Requirements Webinar - Transcript
2016 Meaningful Use Requirements Webinar - Transcript Tuesday, February 9, 2016 Good afternoon, everyone. Thanks so much for joining us today. The Quality Insights Innovation Network team welcomes you
More informationDHRPC Key Informant Interviews for Evaluation and Assessment Committee Brooke Bender, MPH August 3, 2010 Didi Fahey, PhD May 10, 2010
DHRPC Key Informant Interviews for Evaluation and Assessment Committee Brooke Bender, MPH August 3, 2010 Didi Fahey, PhD May 10, 2010 Key Informant interviews were established to inform the DHRPC of details
More informationTuberculosis Indicators Project (TIP) Overview
Tuberculosis Indicators Project (TIP) Overview Anne Cass, MPH TIP Coordinator Melissa Ehman, MPH Lead TIP Epidemiologist California Department of Public Health Tuberculosis Control Branch (TBCB) Careful
More informationMild-to-Moderate Mental Health Coverage in Medi-Cal: The Challenge and Promise of Coordination between Counties and Health Plans
Advancing innovations in health care delivery for low-income Americans Mild-to-Moderate Mental Health Coverage in Medi-Cal: The Challenge and Promise of Coordination between Counties and Health Plans December
More informationThe Feasibility of Using Electronic Health Records (EHRs) and Other Electronic Health Data for Research on Small Populations
The Feasibility of Using Electronic Health Records (EHRs) and Other Electronic Health Data for Research on Small Populations Kelly J. Devers, Ph.D. January 18, 2018 Outline The Importance of Studying Small
More informationChinese Hospital IMP Update Analysis Final Report
Chinese Hospital IMP Update Analysis Final Report Presented to: San Francisco Health Commission April 5, 2011 2 Outline 1 Projected Community Health Impact 2 Additional Community Health Assessment Findings
More informationTuberculosis Case Management for Removable Alien Inmates/Detainees in Federal Custody
Background Tuberculosis Case Management for Removable Alien Inmates/Detainees in Federal Custody Federal Bureau of Prisons (Department of Justice) United States Marshals Service (Department of Justice)
More informationSacramento Medi-Cal Managed Care Advisory Committee
Meeting Minutes September 22, 2014, 3:00 PM 5:00 PM Sacramento Medi-Cal Managed Care Advisory Committee DHHS Administration 7001A East Parkway Sacramento, CA 95823 Conference Room 1 COMMITTEE MEMBERS x
More informationFast-Track NCQA-PCMH Recognition. Using i2i Systems NCQA Pre-Validated PCMH Solution
Fast-Track NCQA-PCMH Recognition Using i2i Systems NCQA Pre-Validated PCMH Solution Goal of Today s Webinar Share Why NCQA-PCMH Pre-Validation Matters Learn How to Fast-Track to NCQA-PCMH Recognition Hear
More informationDepartment of Health & Human Services Division of Behavioral Health Services Alcohol & Drug Services. Uma K. Zykofsky, LCSW Behavioral Health Director
Department of Health & Human Services Division of Behavioral Health Services Alcohol & Drug Services April 24, 2017 Presentation to Geographic Managed Care Providers Uma K. Zykofsky, LCSW Behavioral Health
More informationCalifornia Community Clinics
California Community Clinics A Financial and Operational Profile, 2008 2011 Prepared by Sponsored by Blue Shield of California Foundation and The California HealthCare Foundation TABLE OF CONTENTS Introduction
More informationComparison of ACP Policy and IOM Report Graduate Medical Education That Meets the Nation's Health Needs
IOM Recommendation Recommendation 1: Maintain Medicare graduate medical education (GME) support at the current aggregate amount (i.e., the total of indirect medical education and direct graduate medical
More informationCommunity and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network
Community and Migrant Health Centers: Providing Vital Access Ed Zuroweste, MD, CMO Karen Mountain, MBA, MSN, RN CEO, Migrant Clinicians Network A force for justice in healthcare for the mobile poor Welcome
More informationFuture Directions in Workforce Development
Future Directions in Workforce Development September 13, 2010 Janet Heinrich, DrPH, RN, FAAN Associate Administrator, Bureau of Health Professions US Department of Health and Human Services Health Resources
More informationTransforming Delivery Systems for Population Health
Transforming Delivery Systems for Population Health George Isham, M.D., M.S. Senior Advisor, HealthPartners Senior Fellow, HealthPartners Institute for Education and Research October 9, 2015 Presenter
More informationCommunity Health Centers (CHCs)
Health Policy Brief May 2014 Ready for ACA? How Community Health Centers Are Preparing for Health Care Reform Nadereh Pourat, Max W. Hadler Two in five CHCs have made significant progress toward ACA readiness.
More informationInitiating a Contact Investigation
Initiating a Contact Investigation Jessica Quintero, M.Ed. September 14, 2017 TB Nurse Case Management September 12 14, 2017 San Antonio, Texas EXCELLENCE EXPERTISE INNOVATION Jessica Quintero, M.Ed. has
More information2018 BFWW Questions. If so what kind of support letter do I have to get from the Department Chair (i.e., he will be promoted to Assistant Professor).
2018 BFWW Questions Topic Question/Answer Campus Questions from the January 10 th Pre-Submission Webinar Q: Are faculty at the Instructor level-eligible to apply? Unknown If so what kind of support letter
More informationSutter Health Sutter Maternity & Surgery Center of Santa Cruz
Sutter Health Sutter Maternity & Surgery Center of Santa Cruz 2016 2018 Implementation Strategy Responding to the 2016 Community Health Needs Assessment Sutter Maternity & Surgery Center of Santa Cruz
More informationCalifornia Community Health Centers
California Community Health Centers Financial & Operational Performance Analysis, 2011-2014 Prepared by Sponsored by Blue Shield of California Foundation Introduction This report, prepared by Capital Link
More informationBeyond Cost and Utilization: Rethinking Evaluation Strategies for Complex Care Programs
Beyond Cost and Utilization: Rethinking Evaluation Strategies for Complex Care Programs April 9, 2-3:30 pm (ET) Made possible with support from Kaiser Permanente Community Health Housekeeping This event
More informationQuestion and Answer: Webinar- Health Care Eligibility and Coverage options for Deferred Action Childhood Arrivals (DACA)
Question and Answer: Webinar- Health Care Eligibility and Coverage options for Deferred Action Childhood Arrivals (DACA) Questions for The California Endowment Will this webinar be recorded and available
More informationCommunity Health Centers: Medical Homes in the Safety Net. Jonathan R. Sugarman, MD, MPH President and CEO Qualis Health
Community Health Centers: Medical Homes in the Safety Net Jonathan R. Sugarman, MD, MPH President and CEO Qualis Health Fifth National Medicaid Congress Preconference Symposium II: Medicaid and the Medical
More informationThis session will: At the end of this presentation, participants will be able to: The Federally Qualified Health Center s Mission
Expanded Role of Federally Qualified Health Centers TB Intensive Workshop October 5, 2012 Ed Zuroweste, MD, CMO Migrant Clinicians Network A force for justice in healthcare for the mobile poor Welcome
More informationRole of National TB Program in LTBI Reseach. Dr Hung, Vietnam
Role of National TB Program in LTBI Reseach Dr Hung, Vietnam 1 TB Epidemiology in Viet Nam 12 th / 22 of the TB HBCs 14th / 27 MDR HBC. 2 Nguồn: Báo cáo WHO 2012 WHO 2014 TB RESEARCH IN VIET NAM Level
More informationPBGH ANALYSIS. Highlights: Anthem Strengths and Weaknesses
Methods Description: Health Plan Shopping Services Evaluation PBGH ANALYSIS Executive Summary: Anthem The brief provides purchasers with an evaluation of the consumer medical care and provider online shopping
More informationSharpen coding skills and reimbursement strategies during ICD-10 delay The Centers for Medicare & Medicaid Services (CMS) once again has extended the
Ambulatory Surgery Centers Sharpen coding skills and reimbursement strategies during ICD-10 delay The Centers for Medicare & Medicaid Services (CMS) once again has extended the deadline to begin using
More informationCommunity Health Workers & Rural Health: Increasing Access, Improving Care Minnesota Rural Health Conference June 26, 2012
Community Health Workers & Rural Health: Increasing Access, Improving Care Minnesota Rural Health Conference June 26, 2012 Joan Cleary, Interim Executive Director Minnesota Community Health Worker Alliance
More informationSUMMARY OF IDS WORKGROUP PROPOSED RECOMMENDATIONS
The following document provides a high-level summary of the proposed recommendations from the following IDS groups: Case Management Clinical Leadership Disease Prevention and Health Promotion Innovations
More informationA CDC REACH, NIH, OPHS and HRSA CHC grantee applies lessons learned to create a new paradigm for community health care financing and delivery
A CDC REACH, NIH, OPHS and HRSA CHC grantee applies lessons learned to create a new paradigm for community health care financing and delivery Census 2010 Population / % served: Grant County: 29,514 / 55.4%
More informationRoll Out of the HIT Meaningful Use Standards and Certification Criteria
Roll Out of the HIT Meaningful Use Standards and Certification Criteria Chuck Ingoglia, Vice President, Public Policy National Council for Community Behavioral Healthcare February 19, 2010 Purpose of Today
More informationStrategies for Ryan White providers to partner/transition to community health centers in a post-affordable Care Act world
Strategies for Ryan White providers to partner/transition to community health centers in a post-affordable Care Act world Jan. 14, 2015 Noel Twilbeck, CEO, NO/AIDS Task Force Brian Toomey, CEO, Piedmont
More informationMy Path to Good Health
My Path to Good Health Get health insurance for you/your family - page 2 How to choose a doctor - page 7 Use your health insurance - page 8 Go to the Doctor - page 9 Keep your health insurance - page 13
More informationtransforming california s healthcare safety net through value-based care
issue brief transforming california s healthcare safety net through value-based care The Patient Protection and Affordable Care Act (ACA) continues to provide California with an extraordinary opportunity
More informationAn Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care
An Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care AIM Partnership Forum June 5, 2014 Lynda C. Meade, MPA Director of Clinical Services Michigan Primary Care Association
More information2017 Access to Care Report
July 2017 2017 Access to Care Report ELKHORN LOGAN VALLEY PUBLIC HEALTH DEPARTMENT Gina Uhing, Health Director Mason McCain Introduction In order to prevent and treat disease, disability, or other negative
More informationPROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL PROGRAMS TUBERCULOSIS CONTROL PROGRAMS
APRIL 2011 93.116 PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL State Project/Program: PROJECT GRANTS AND COOPERATIVE AGREEMENTS FOR TUBERCULOSIS CONTROL Federal Authorization: U.
More informationCare Coordination for Special Populations
Care Coordination for Special Populations Joy Twesigye, MS, MPP, WHNP-BC Associate Director, Programs and Professional Services June 4, 2013 NASBHC Offerings Advocacy Policies Programs Funding Training
More informationPUBLIC HEALTH 264 HUMAN SERVICES. Mission Statement. Mandates. Expenditure Budget: $3,939, % of Human Services
Mission Statement Public Health will promote optimum health and the adoption of healthful lifestyles; assure access to vital statistics, health information, preventive health, environmental health and
More informationIncrease/ General Fund Actual Approved Requested Recommended (Decrease) ~ $373,210 Add five positions.
Kenneth B. Cohen, Health Care Services Director 2011-12 2012-13 2013-14 2013-14 Increase/ General Fund Actual Approved Requested Recommended (Decrease) Expenditures Salaries & Benefits $17,755,051 $20,477,977
More informationPreparing for a New Era in Health Care
Preparing for a New Era in Health Care The Integrated Electronic Health Records System Presented by Ginger A. Baker, MS, MT (AAB) Objectives Build a foundation of understanding: The ARRA and HITECH Act
More informationPUBLIC HEALTH. Mission Statement. Mandates. Expenditure Budget: 3.2% of Human Services
Mission Statement Public Health will promote optimum health and the adoption of healthful lifestyles; assure access to vital statistics, health information, preventive health, environmental health and
More informationeconsult in the Safety Net
Council of Community Clinics econsult in the Safety Net Workplan for Blue Shield of California Foundation Preface In January 2015 Blue Shield Foundation of California awarded the Council of Community Clinics
More informationMedi-Cal Expansion Under Health Care Reform: Peter Winston Executive Vice President
Medi-Cal Expansion Under Health Care Reform: A Provider Perspective Peter Winston Executive Vice President Perceptions Medi-Cal was considered a different animal Ignored by mainstream medicine Medicaid
More informationm/training-modules.html.
A Publication of the Quillen EHR Team August 2013 New Resident Training Training Techniques The Green Team took a slightly different approach to new resident training this year one which we hope will give
More informationHEALTH PLANS FOR PARTICIPANTS
Kern County 2018 Retiree HEALTH PLANS FOR PARTICIPANTS OVER AGE 65 (Must have BOTH Medicare Parts A & B) For current participating physician information, please contact each plan directly. This summary
More informationOklahoma s Safety Net Providers: Collaborative Opportunities to Improve Access to Care
Oklahoma s Safety Net : Collaborative Opportunities to Improve Access to Care PRESENTATION FOR THE OKLAHOMA RURAL HEALTH CONFERENCE MAY 22, 2015 Participants will be able to: L e a r n i n g O b j e c
More informationKENNETH B. COHEN, MHA, CHE Director San Joaquin County Health Care Services Agency French Camp, California
KENNETH B. COHEN, MHA, CHE Director San Joaquin County Health Care Services Agency French Camp, California Results oriented HEALTHCARE EXECUTIVE with diverse management experience in public, district,
More informationThe Most Common Billing Mistakes for PA Services
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/the-most-common-billing-mistakes-for-paservices/3518/
More informationProvider s Frequently Asked Questions Availity in California
Page - 1 - of 6 Provider s Frequently Asked Questions Availity in California Who is Availity? Availity is a multi-payer portal at availity.com that gives physicians, hospitals and other health care professionals
More informationFeather River Tribal Health, Inc.
Feather River Tribal Health, Inc. HEALTH INSURANCE CHANGES Presented 1/11/14 http://www.frth.org 1 CHS TOPICS TO BE ADDRESSED Affordable Care Act Managed Care Expansion (Medi-Cal) CRIHB Care/CRIHB Options
More informationChapter VII. Health Data Warehouse
Broward County Health Plan Chapter VII Health Data Warehouse CHAPTER VII: THE HEALTH DATA WAREHOUSE Table of Contents INTRODUCTION... 3 ICD-9-CM to ICD-10-CM TRANSITION... 3 PREVENTION QUALITY INDICATORS...
More informationMedical Home Phone Conference November 27, 2007 "Transitioning Young Adults With Congenital Heart Defects" Dr. Angela Yetman, MD
Medical Home Phone Conference November 27, 2007 "Transitioning Young Adults With Congenital Heart Defects" Dr. Angela Yetman, MD Dr Samson-Fang: Today we are joined by Dr. Yetman from Pediatric Cardiology
More informationSutter Health. Steven Lane, MD, MPH, FAAFP Sutter EHR Ambulatory Physician Director
Interoperability @ Sutter Health Steven Lane, MD, MPH, FAAFP Sutter EHR Ambulatory Physician Director Main Points Secure health information exchange is happening in Northern California Sutter Health utilizes
More informationTHE ANDREW MARR SHOW INTERVIEW: SIMON STEVENS 22 ND MAY 2016
1 THE ANDREW MARR SHOW INTERVIEW: SIMON STEVENS 22 ND MAY 2016 Andrew Marr: Before we get going I don t normally do this but I think people should just see a graph which shows the huge amount of red streaking
More informationBUILDING THE PATIENT-CENTERED HOSPITAL HOME
WHITE PAPER BUILDING THE PATIENT-CENTERED HOSPITAL HOME A New Model for Improving Hospital Care Authors Sonya Pease, MD Chief Medical Officer TeamHealth Anesthesia Kurt Ehlert, MD National Director, Orthopaedics
More informationKEY ACTIVITIES IN TB CONTROL. Using Epidemiology for Data-Driven Decision-Making in Tuberculosis Programs February 24, 2016
BROADENING THE APPLICATION OF EPIDEMIOLOGY IN TUBERCULOSIS CONTROL Shama Desai Ahuja, PhD, MPH Director, Office of Sur veillance and Epidemiology Bureau of Tuberculosis Control New York City Depar tment
More informationTHE APPLICATION OF INFORMATION SYSTEMS IN PUBLIC HEALTH MANAGEMENT --- AN APPLICATION TO TRACK POLICY, REGULATORY, AND LEGISLATIVE (PRL) INITIATIVES
THE APPLICATION OF INFORMATION SYSTEMS IN PUBLIC HEALTH MANAGEMENT --- AN APPLICATION TO TRACK POLICY, REGULATORY, AND LEGISLATIVE (PRL) INITIATIVES Emily Wong, VA Palo Alto Health Care System, 795 Willow
More informationCONFERENCE SHARING AND LEARNING. Deborah Chaulk & Glynnis LaRosa October 3, 2016 MAPHN Board Meeting
CONFERENCE SHARING AND LEARNING Deborah Chaulk & Glynnis LaRosa October 3, 2016 MAPHN Board Meeting TWO OF THE NATIONAL PUBLIC HEALTH NURSING ORGANIZATIONS MET JOINTLY THIS YEAR www.phnurse.org www.achne.org
More informationData Management Benita Cook, RN, BS
TB Contact Investigation Albuquerque, New Mexico April 22-23, 23 2010 Data Management Benita Cook, RN, BS April 23, 2010 Contact Investigation Data Management Benita Cook, RN, BS Region 5 TB Nurse Coordinator
More informationThe Institute of Medicine Committee On Preventive Services for Women
The Institute of Medicine Committee On Preventive Services for Women Testimony of Hal C. Lawrence, III, MD, FACOG Vice President for Practice Activities American Congress of Obstetricians and Gynecologists
More informationIntegrating Health Care & Public Health to Improve HIV Early Detection and Control
Integrating Health Care & Public Health to Improve HIV Early Detection and Control Research In Progress Webinar Thursday, April 20, 2017 1:00-2:00pm ET/ 10:00-11:00am PT Funded by the Robert Wood Johnson
More informationPathways to Diabetes Prevention
Pathways to Diabetes Prevention How Colorado Organizations are Creating Healthcare Referral Systems that Work Introduction It is estimated that 35% of Colorado adults and half of all adults aged 65 years
More informationCHCANYS NYS HCCN ecw Webinar
CHCANYS NYS HCCN ecw Webinar Meaningful Use, V10 and UDS January 30, 2013 Stephanie Rose, Project Director Desiree Railine, HIT Implementation Specialist/Trainer Agenda Meaningful Use Stage 1 2014 Review
More information